Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,231.36 / $2,231.36 / $2,231.36	Facility		$2,231.36	$2,231.36	$2,231.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.42 / $2,231.36 / $5,297.25	Professional		$1,862.42	$2,231.36	$5,297.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,853.74 / $5,016.62 / $6,270.78	Professional		$3,853.74	$5,016.62	$6,270.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,670.21 / $3,493.71 / $5,072.70	Facility		$2,670.21	$3,493.71	$5,072.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,072.83 / $4,048.34 / $24,626.21	Professional		$2,072.83	$4,048.34	$24,626.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,993.32 / $5,080.68 / $6,946.32	Facility		$2,993.32	$5,080.68	$6,946.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,993.32 / $4,258.78 / $6,026.58	Professional		$2,993.32	$4,258.78	$6,026.58
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,318.62 / $3,562.24 / $4,371.75	Professional		$2,318.62	$3,562.24	$4,371.75
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.91 / $3,848.92 / $6,297.42	Professional		$2,116.91	$3,848.92	$6,297.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,336.89 / $5,306.40 / $5,306.40	Professional		$4,336.89	$5,306.40	$5,306.40